Displ commnt fx shaft of r femr, 7thM

This code signifies a complex injury involving a right femur shaft fracture that has broken into multiple pieces (comminuted) and is no longer in its proper alignment (displaced). Furthermore, it indicates that the initial injury was an open fracture (Type I or II), meaning the skin was broken, and the bone is now failing to heal properly (nonunion) during a subsequent encounter for care.

This code is appropriate for documenting follow-up care for a patient who previously sustained an open comminuted and displaced fracture of the right femoral shaft. It is specifically used when the fracture has not healed as expected and is now considered a nonunion, requiring ongoing medical management or surgical intervention.

• Ensure documentation clearly specifies "nonunion" for this subsequent encounter.
• Verify the initial fracture was indeed an open fracture type I or II.
• Confirm the laterality is explicitly "right femur."